Renee Marie Andino
Chiropractor in Rockford, IL. Individual provider (NPI-1).
NPI number1689794141
StatusActive
Last updated in NPPESOct 7, 2014
Details
- NPI
- 1689794141
- Entity type
- Individual (NPI-1)
- Name
- Renee Marie Andino
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2007
- Last updated
- Oct 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038010991 | IL | Yes |
| 111N00000X | Chiropractor | 06241 | IA |
Practice location
7264 Argus DrRockford, IL 61107-5837
Phone 815-877-5575 · Fax 815-877-5550
Mailing address
7264 Argus DrRockford, IL 61107-5837
Phone 815-877-5575 · Fax 815-877-5550
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